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Search Results 0 to 25 of about 26 (some duplicates have been removed)
on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose their business. mr. smith, are you aware of this provision? >> i am not familiar with that section. >> let me ask you this. in this provision, you may not know this either, but the word quality is not defined in the statute. it is safe to assume that the secretary, not just secretary sebelius, but every secretary to follow, would be able to define for regulation what that word quality means. yes or no? >> i believe that is the correct interpretation. again, we have tried to introduce quality performances into a variety of parts of our programs, both in managed care, both in the fee-for-service world, and this is another one of our concerns that we
a loss so vast. the aca is not just above the expansion of medicaid or establishing an insurance exchange, it is about the hundreds of federal mandates and procedural requirements that have the escaped public attention, but to which we by law must obey. the fine print of the legislation is so complex, even the federal government struggles to understand it. the states cannot fully understand the impact on finances, systems changes, and operations. this law completely overwhelms society's safety net for the needy. there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor- made renewal system that took years to refine and perfect. the verification system will
that must be covered by any health plan offering a plan in the aca exchange. i understand this has far reaching consequences on premiums. benefits must be provided. according to the notice in the federal register, the rule was approved by administrator on august 1, 2012. that is three months before. yet the role did not receive approval from secretary sebillius until two weeks ago. what did it take two month for the administration staff to review -- and yet the public will have only four weeks to review during the period of public comment on the ruling issued on november 26? i would note this is a time of year when people's focus is generally on things other than long awaited rules. >> we put a bulletin on the essential health benefits quite some time ago and got comments on the bulletin. the public had an opportunity to provide public comment on essential health benefits before the proposed rule was put out. there were some changes from what had been in the bulletin, but by and large what is in the bulletin is what is a in the proposed rule. i think there has been ample opportunity fo
recovery. in terms of health care costs related to the aca, while most business leaders that we have spoken to have said is they understand we needed to do something. small-business owners are impacted disproportionately by rising health-care costs. the current health c arpl work for them less well thanlarg companies because they don't have buying power. if you look at some of the reforms, you see a number of efforts to try to reduce costs for small businesses to, like creating exchanges, for example. small in 2011, small businesses paid 25% more for insurance than large companies. the exchange is meant to help small business. you are right. with the new regulations set to take effect in a couple of years, it is another reason to be careful and protect small businesses from tax increases. what the obama people will tell you is that they have cut taxes for small business 17 times and 90% of the small businesses in america would not be effected by higher individual taxes. host: here is "the miami herald" this morning. pennsylvania. independent caller. caller: he said it earlier when they go t
. analysts believe the generic drug makers could see a 40% jump in revenues once the a.c.a. is fully implemented. >> if you look at where a lot of companies are focused today, it is in the disease states that are relevant to an aging population. >> reporter: new drugs and new markets may help spark revenue growth, but the 10,000-pound gorilla is a newer category of products known as bio-similars, which are proteins made in living cells that are oftentimes used to treat cancer. they are a lot more difficult to copy but could also carry fatter profit margins. ruben ramirez, "n.b.r.," new york. >> susie: on wall street progress on the fiscal cliff negotiations srkedroad-based gains on wall street, helping the major indices close at post- election highs. the s&p 500 rally got going about an hour after the homebuilders confidence survey was released, moving higher for an eighth straight month. the s&p finished up 0.9%. trading volume picked up. 817 million shares moved on the big board, just over two billion traded on the nasdaq. nine of the ten major stock sectors were higher. energy and
are trying to do that, implementing thea aca. i feel strongly of rewarding doctors differently, in a way that rewards success. in those discussions, are there other ways we can see revenues come in from within the health- care system? i think that is on the table. i am not keen on raising the age for medicare. we have to help figure out how to a group of people figure out how to get health college. that is the cost of subsidies. do they go into the exchange. for medicare, the use of the least expensive seniors we have, 65 and 66 year olds. the most expensive seniors are much older. you have to look at the consequences and whether that is a cost savings at the end of each day for government and for families. >> one final question on the immediate and we will go back to the broader agenda. the president had a firm statement this week about the test ceiling where he says, i will not play that game, meaning he will not negotiate for raising the debt ceiling. how was that going to work? does that need to be part of any agreement to appoint -- agreement to avoid the fiscal cliff? >> this is se
it means to take two cases in this way at the same time? we know from the aca decision that justice roberts cares deeply about his legacy and the legacy of the court. how do we read that into this discussion? is he going to want to be part of a decision stripping rights away from people, and then he looks into the future and he's in a case like people look back and say he was the chief justice when they took rights away from millions of americans. >> reporter: we can read nothing into any specific justice's thinking about the fact they took up the defense of marriage act. that was a foregone conclusion. whenever you have federal courts that happened here, striking down an account of congress saying it's unconstitutional, the fact the supreme court would agree to hear the case was a given. the surprise here is they've agreed to take the prop 8 case from california because i think it's believed among some folks following this case that look at it this way. if you're conservative members of the court and you believe this is wrongly decided -- remember the appeals court decision below said prop
. perhaps he will vote with the liberals. and i also look optimistically at justice roberts who in the aca decision shows us he cares about the court's legacy. he doesn't want to be part of a decision that later people look book on and say he was part of taking away people's liberty. right now i am not optimistic about what this court will do. >> we've had one optimistic, one pessimistic. michelle, don't i dare sit on the fence. >> no, no. i'm off the fence. okay. i will say i agree that the court's composition should make some people nervous but i think the timing, they just had gay marriage wins at the ballot box and there has been a sea change among the electorate on this issue and it would be a little bit troublesome for the court to then at this point step in and say, no, no, we know the country is moving in this direction but we're going to stop you. >> indeed, michelle, you have actually written yourself that the president's base in a second term wants the repeal of the defense of marriage act. you've written that yourself. >> they think it's time, and they think that they've had en
venture with aca. you see the stock pop reopen. it was halted for trading. they are doing a joint venture in canada for space of land that could have up to 9 billion barrels ever oil or equivalent. they are paying a billion up front at close. another billion over four years. and they will invest 4 billion all for 49% stake. they have been doing this for a couple of years now and they continue. back to you, sue. >> thank you, brian. if the food fight in washington continues. house speaker john boehner saying the white house seems willing to slow walk our economy up to and over the fiscal cliff. senator reed telling mr. boehner he can't ignore the american people forever. so there they have it. live to capitol hill with one on one interview with representative maxine waters when we come back. [ male announcer ] you are a business pro. monarch of marketing analysis. with the ability to improve roi through seo all by cob. and you...rent from national. because only national lets you choose any car in the aisle... and go. you can even take a full-size or above, and still pay the mid-size price.
't aca republican offer to cappadocians and bring in a lot more money? why are they insisting on actual rate increase although the other side hates the rate increase worse? >> the democrats are convinced they win the election white house because they want the top rate to go higher. that is a concession that is mandatory for political cosmetic reasons. dennis: are you at all concerned john boehner has made this new concession, let's lift rates without still anything in the way of specific spending cuts, does that bother you? >> there has to be a change, more names i medicare recipients and there probably is going to be out in the distance higher eligibility age may be going up by two years. he has to sell it to his caucus. i would be a little surprised they announced a final deal in the next half an hour because he has to meet with his troops. a lot of them will have to swallow hard to raise rates. dennis: republicans seem to be getting all the blame if we go over the cliff. what you can do two or three most important things to avoid, what do you have to fix ahead of time? >> you have to
will get even higher. >> but that is the point now that you have the aca that you can have this discussion in a way that was much harder to have before. it is really saying for those who are able to continue working, can we begin to reorient the expectation for the next generation, which is what we're talking about, recognizing that for people who are in that pre now pre-medicare age, they will no longer have to postpone taking care of health care because they, in fact, have an option. so it is why this discussion takes on a whole different tone as a result of the affordable care act having passed. >> i mean, i would say we have options, but we don't know if they're affordable options, and that's really the big difference. >> al milliken, am media. what can we learn from other countries? i'm wondering if any of you have studied the health benefit programs elsewhere, and do any have comparable insurance programs, and what has been the experience in other nations? >> most of them are struggling mightily with the promises they have made which encourage people to retire even earlier than they
their own extremist needs. last week we designated on the front of the ail yes, sir of aca i which is already listed as a foreign terrorist terrorist organization. as they try to wrap themselves in the legitimate sei of the we called it a warning to support the opposition to the syrian people and not help the terrorist group. to add to the list of new challenges, in west africa the loosely organized of collection of factions who have some ties to -- public sympathy. the number in sophistication to the attacks increasing and while the group focusing principally on local nigeria issues -- iranian revolutionary guard and teheran's ally hezbollah. in addition to the critical support that hezbollah are providing for serious assad regime, over the past year, there's been a significant escalation in iranian-backed terrorism. hezbollah's activity has reached an tempo unseen since the 1990s with the attacks plottedded in southeast asia, europe, and calf with a. it appears they carried out an attack in bull gear ya with the airport bombing in july. the forces saw to attack in georgia, india,
will lose access to critical health services covered in the a.c.a. like cancer screenings. and the last step is to go after another favorite g.o.p. target and that's social security. house republicans have only one to protect and that's the wealthiest americans. it couldn't be more obvious. i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from wisconsin. mr. ryan: i yield three minutes to the chairman of the commerce committee, mr. upton. the speaker pro tempore: the gentleman from michigan. up up -- mr. upton: we work to get our $16 trillion national debt under control and we put us on a path towards a more solemn fiscal future. the spending reduction act of 2012, we identified key areas to reduce spending to replace the sequester and without this thoughtful balanced package of savings, in two weeks, the sequester is going to cut discretionary spending while shielding the lion's share of the government's budget from reduction. critical priorities such as important cancer research at the n.i.h. and review of budget
intermediate deficit problem and implementation of the cost saving measures strengthened over time in the aca will deal with their long-term health care problem. so we are not that far away and we have other tremendous strengths in our country that would allow us to make the kind of investment to transform the economy, to do with the reality of stagnant wages and a sense of diminished opportunities. we have strengths. we can do it. we need the public to rain and behavior that's destructive and we need political leaders to act forcefully. given enough to bipartisan commissions and searched enough for bipartisan consensus. for sensible hard all politics along these lines. >> norm, i particularly cutie take the money question. a couple political had a great shared that showed that party polarization in congress was directly correlated with increasing concentrations of wealth from increasing equality went together artisan polarization. and the money question you can handle so many different ways. i'm really concerned about it posed citizens united system with a federal election commission that's
gone too far? i personally think my position on a.c.a. is a good position and protecting the people's right to know is a high priority. >> what have you decided to do with all your papers and years in congress? >> that is an important question. i'm pleased to say that my alma mater at ucla is taking some interest. hopefully, some of that work will be of value to researchers sometime out there. >> you have expressed optimism and interest of what your future might hold but it has to be difficult leaving this institution after so many years. this has been most of your adult life, your way of life. how are you using these last few weeks here, still as a voting member of congress? is the experience -- does it feel different saying this might be the last time i will do this? >> i was looking at my cad and wondering how many more votes i have left. if i thought this was the end of impacting public affairs i would be very nostalgic. we're looking at it as another chapter in life -- the book of life that we look forward to. >> do you plan to make a good- bye speech on the floor? >> i said a
, of course, think obama care is terrible. if you're a shareholder in aca, or want to be one, you should be applauding obama care. i think this is a deal you probably want to be in. >> yeah, it is interesting, the for-profit hospital companies have done quite well under the affordable care act. >> just a quick note, trip adviser open for trade, up by 11%. as you mentioned, david, not as high as liberty is paying for the shares. but it sa nice close -- >> a real vote of confidence from john malone who runs liber liberty. >> again, trip adviser up to 59.5 right now. delta airlines buying a stake in virgin atlantic. the most interesting aspect of the story is the wager between richard branson and willy walsh, let's say it's below the belt. we'll have the details coming up next. and richard anderson, plus a gadget lover's delight for the holidays. a live interview with the ceo of brookstone. bob, these projections... they're... optimistic. productivity up, costs down, time to market reduced... those are good things. upstairs, they will see fantasy. not fantasy... logistics. ups came in, anal
the entire system. from private companies and individuals. we are trying to do that, in building the aca is important in terms of delivery reforms. pay doctors differ in their rewards quality. we should do that sooner than later. save those dollars sooner. in those discussions, are there other ways that we can see revenues come in from within the health-care system? that is on the table. i am not keen on increasing the age on medicare. we have gone to a really big debate about finding a way to have all americans have health insurance. that is taking a group of americans and figure out how they afford health coverage. that shifts the cost of subsidies and they go into the exchange and make it more expensive for younger people because the older court is in that group. -- cohort is in that group for medicare, these are the least expensive singers we have. the most expensive seniors are much older. you have to look exactly at the consequences and whether that is cost-savings for government and families? >> the president had a firm statement this week to the business roundtable about the debt
to be sicker and therefore the cost will be would hire. >> that is appointed the aca that you have this discussion in a way that is much harder to have before. it is really saying, for those who are able to continue working, can we begin to re-orient and the expectation for the next generation which is what we are talking about, recognizing that for people who are in that now pre-medicare age, they will no longer have to postpone health care because they have options. it is why this discussion takes on a whole different tone as a result. >> i would say we have options that we don't know if they are affordable options and that is really the big difference. >> i will milliken, a immediate. what can we learn from other countries? i am wondering if any of you have studied the health benefit programs elsewhere and do any have comparable insurance programs in what has been the experience in other nations? >> most of them are struggling muddling with the promises they have made which encourage people to retire even earlier than they do in the united states and finding themselves in very s
at the internet and say do we have to draw lines here? have we gone too far? i personally think my position on a.c.a. is a good position and protecting the people's right to know is a high priority. >> what have you decided to do with all your papers and years in congress? >> that is an important question. i'm pleased to say that my alma mater at ucla is taking some interest. hopefully, some of that work will be of value to researchers sometime out there. >> you have expressed optimism and interest of what your future might hold but it has to be difficult leaving this institution after so many years. this has been most of your adult life, your way of life. how are you using these last few weeks here, still as a voting member of congress? is the experience -- does it feel different saying this might be the last time i will do this? >> i was looking at my cad and wondering how many more votes i have left. if i thought this was the end of impacting public affairs i would be very nostalgic. we're looking at it as another chapter in life -- the book of life that we look forward to. >> do you plan to make
Search Results 0 to 25 of about 26 (some duplicates have been removed)